- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $26.30 / $48.98
| Facility | | $11.48 | $26.30 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $51.29
| Professional | | $7.94 | $10.00 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $100.00
| Facility | | $10.47 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $11.48 / $24.55
| Professional | | $4.79 | $11.48 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $28.18 / $44.67
| Facility | | $22.39 | $28.18 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $14.79
| Professional | | $10.96 | $10.96 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $18.20 / $44.67
| Facility | | $8.91 | $18.20 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.13 / $19.50
| Professional | | $8.51 | $14.13 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $3,630.78 / $9,772.37
| Facility | | $16.60 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $19.95
| Professional | | $16.98 | $16.98 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $34.67
| Professional | | $11.48 | $11.48 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $100.00
| Facility | | $10.47 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $11.48 / $24.55
| Professional | | $5.50 | $11.48 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $11.48 / $19.05
| Facility | | $6.61 | $11.48 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $9.55 / $27.54
| Professional | | $3.16 | $9.55 | $27.54 |